Individual
JONATHAN CREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS
Contact information
Practice address
1760 TEXAS ST, NATCHITOCHES, LA 71457
(318) 238-8801
Mailing address
360 LONEWA LN, MONROE, LA 71203-6521
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
05/15/2018
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